| NPI | 1063724987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 2300) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MS 23000) |
| 207R00000X Internal Medicine (Licence: MS T-2359) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2023-09-21 |