| NPI | 1164982823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD476785) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD476785) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-03-13 |