| NPI | 1699208413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA OP61424694) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 20A18661) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-09-07 |