| NPI | 1801567821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0008139) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: MD C0008139) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2025-07-08 |