| NPI | 1275805921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS11655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS 11655) |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2026-01-15 |