| NPI | 1548428923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2008-00348) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 2008-00348) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-08-25 |