| NPI | 1447784673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 20866) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 271522) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2021-07-09 |