| NPI | 1730575739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX V3941) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX V3941) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2025-02-02 |