| NPI | 1558773127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX R7585) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX R7585) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2025-07-11 |