| NPI | 1700024833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS10758) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS10758) |
| 207N00000X Dermatology (Licence: WA OP60804168) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: FL OS10758) | |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2023-11-03 |