| NPI | 1457713471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0102204948) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX W4397) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2026-05-05 |