| NPI | 1114668126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 351182) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 351182) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-06-30 |