| NPI | 1215556048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 33581) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-4028) |
| Enumeration Date | 2020-04-12 |
| Last Update Date | 2024-08-05 |