| NPI | 1932884368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology (Licence: FL 11026614) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: FL 11026614) |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-07-07 |