| NPI | 1619597184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 43402) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: GA 100406) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-09-04 |