| NPI | 1558193482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 28425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28425) |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2025-12-02 |