| NPI | 1811246531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 71011005A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60277759) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2024-12-19 |