| NPI | 1447712054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 100139) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 1014863) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2026-03-04 |