| NPI | 1750140331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4351057064) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.085504) |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-05-28 |