| NPI | 1841876588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022019693) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021020661) |
| 208000000X Pediatrics (Licence: KS 9410577) | |
| 207N00000X Dermatology (Licence: MO 2021020661) | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2022-07-28 |