| NPI | 1295577971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4351052864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351052864) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-06-26 |