| NPI | 1245726991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 275722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 275222) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2022-06-11 |