| NPI | 1164172060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A187262) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A187262) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-09-01 |