| NPI | 1982855110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI MI5101017676) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101017676) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2025-08-21 |