| NPI | 1306291125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX S2664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056524) |
| 207N00000X Dermatology (Licence: TX BP10056524) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2020-05-04 |