| NPI | 1124083266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ID 1861278) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A103126) |
| 207R00000X Internal Medicine (Licence: WI 47332) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-08-11 |