| NPI | 1720016546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PR 14050) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 14050) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2025-07-08 |