| NPI | 1780150425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD C06976) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006976) |
| Enumeration Date | 2018-10-21 |
| Last Update Date | 2023-09-20 |