| NPI | 1083104236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 69604) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 69604) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-08-29 |