| NPI | 1831478254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV PA-2350) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: NV 01042472) |
| 363AM0700X Physician Assistant, Medical (Licence: NV PA2350) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2023-06-01 |