| NPI | 1467187096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM MD2024-1131) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A208197) |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2026-06-08 |