| NPI | 1568136588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD F07210805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD F07210805) |
| 207N00000X Dermatology (Licence: VA 0024190683) | |
| 207N00000X Dermatology (Licence: DC NP1057201) | |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2025-07-31 |