| NPI | 1184682437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD162733) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48458) |
| 207R00000X Internal Medicine (Licence: PA MD436980) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2013-04-23 |