| NPI | 1154498665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI 11954) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: HI 11954) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-06-12 |