| NPI | 1013233352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2014-00838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 165244) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2020-10-26 |