| NPI | 1598296113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2021-00738) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX U3590) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-06-23 |