| NPI | 1205077146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 53002) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL OS10136) |
| 207R00000X Internal Medicine (Licence: FL OS10136) | |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2024-02-09 |