| NPI | 1457240871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL95073) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC LL95073) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |