| NPI | 1740939222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD F0322058) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD F0322058) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2025-04-10 |