| NPI | 1255061123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA mt226301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT226301) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2024-06-10 |