| NPI | 1548288822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A371990) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A371990) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-06-15 |