| NPI | 1821521733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 96866) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A176430) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2024-10-08 |