| NPI | 1730944471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118443) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL PA9118443) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2026-05-14 |