| NPI | 1134449622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 201701790) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2017-01790) |
| 207R00000X Internal Medicine (Licence: PA MT197360) | |
| 207N00000X Dermatology (Licence: WI 62728) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2023-08-16 |