| NPI | 1205402294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022023495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10075295) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2024-02-05 |