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 |