| NPI | 1003669201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A203474) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.083233) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2026-08-01 |