| NPI | 1881213650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS18944) |
| Additional Taxonomies | 208D00000X General Practice (Licence: FL OS18944) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2025-07-15 |