| NPI | 1841606076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A15354) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA 20A15354) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2020-04-26 |