| NPI | 1932767399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 81458) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A196309) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2026-02-20 |