| NPI | 1669035820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-20885) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA 339672) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2026-07-22 |