| NPI | 1184673295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101236219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 010236219) |
| 207R00000X Internal Medicine (Licence: OR MD28115) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2024-05-08 |