| NPI | 1770036337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 26431) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IA A116063) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-02-24 |