| NPI | 1134381213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2012013463) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2008015958) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2021-02-22 |