| NPI | 1891028957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 6000) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 068485) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2026-07-17 |