| NPI | 1942769724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101281195) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD600004546) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-09-28 |