| NPI | 1942085915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 1201326) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: SC 1201326) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |