| NPI | 1184746455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2020-000543) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: VA 101241534) |
| 207R00000X Internal Medicine (Licence: DC MD046453) | |
| 207R00000X Internal Medicine (Licence: NC 2020-000543) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-08-25 |