| NPI | 1841612025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 86258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 86258) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2024-04-10 |