| NPI | 1245723550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD477049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT215458) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-07-12 |