| NPI | 1902367378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A179190) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 2190) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2023-06-29 |