| NPI | 1740419522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD61023254) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL 52046) |
| 207N00000X Dermatology (Licence: GA 102) | |
| 207N00000X Dermatology (Licence: UT 14241324-1235) | |
| 207N00000X Dermatology (Licence: MS 35862) | |
| 207N00000X Dermatology (Licence: MI EMC0007893) | |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2025-10-29 |