| NPI | 1891288494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME182494) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO DR.0066570) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2026-06-19 |