| NPI | 1780677492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 26221) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 26221) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2026-06-23 |