| NPI | 1194277400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX 1587007) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: TX 1587007) |
| 207RX0202X Internal Medicine, Medical Oncology (Licence: TX 1587007) | |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2016-11-03 |