| NPI | 1952173130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL 11042488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 913046) |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2025-10-22 |