| NPI | 1124763040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 74727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 32685) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2023-07-11 |