| NPI | 1215666995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 293470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 293470) |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-07-31 |