| NPI | 1174965016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A140279) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 207RO0000X) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2022-11-30 |