| NPI | 1760651921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS10266) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS10266) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2020-10-06 |