| NPI | 1235974049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 17418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL92658) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-06-29 |