| NPI | 1225776180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 57.254995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079303) |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2023-07-06 |