| NPI | 1659959021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0104740) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD600004999) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2025-12-19 |