| NPI | 1174974968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 283002) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268109) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-06-04 |