| NPI | 1073316089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA TR61592685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA TR61592685) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-06-05 |