| NPI | 1093731093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD22333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD22333) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-10-05 |