| NPI | 1295351120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 12445874-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL84452) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2021-09-11 |