| NPI | 1487117867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 76946) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 11921064-1205) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2025-06-09 |