| NPI | 1780945261 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 19651) | 
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NH 19651) | 
| Enumeration Date | 2012-05-31 | 
| Last Update Date | 2023-08-14 |