| NPI | 1932424264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 74662) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 258450) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2025-09-16 |