| NPI | 1649910274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PR 37014-R) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 16686) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2024-06-25 |