NPI | 1295390961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 1023851) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 284781) |
207R00000X Internal Medicine (Licence: MA 284781) | |
Enumeration Date | 2019-05-07 |
Last Update Date | 2025-08-15 |