| NPI | 1245663228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A17031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO3501) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2020-12-20 |