| NPI | 1750563243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME99998) |
| Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology (Licence: FL ME99998) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2023-04-17 |