| NPI | 1750127718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX BP10095320) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2024023405) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-08-24 |