| 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 |