| NPI | 1801929773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 01012445533) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A97076) |
| 207N00000X Dermatology (Licence: DC md038076) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2025-06-25 |