| NPI | 1437503687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 11765776-1205) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 11765776-1205) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2024-03-11 |