| NPI | 1669903555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 71685-20) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A169564) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-12-06 |