| NPI | 1780945261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 278930) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: MA 278930) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2026-08-21 |