| NPI | 1447954284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME172258) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL TRN37516) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2025-03-06 |