| NPI | 1134754328 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 1023025) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 289171) | 
| Enumeration Date | 2020-03-08 | 
| Last Update Date | 2025-06-24 |