| NPI | 1073298923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 77618) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12964) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-08-09 |