| NPI | 1245843887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 286915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-10409) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2021-11-14 |