| NPI | 1497632103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 1729533) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 1729533) |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |