| NPI | 1457799439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA A134773) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A134773) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-04-17 |