| NPI | 1093330409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2024033912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024033912) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2025-05-01 |