| NPI | 1689663635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G57257) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA G57257) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2025-09-11 |