| NPI | 1801238852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 18531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A-137648) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2022-06-08 |