| NPI | 1790539054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ R80835) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R80835) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2025-06-26 |