| NPI | 1497336002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC LL87913) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: SC LL87913) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2022-06-01 |