| NPI | 1194176354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A172462) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268686) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-02-22 |