| NPI | 1467574343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI EMC0005108) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX S0228) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2026-05-21 |