| NPI | 1316059587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D44202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D44202) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-12-28 |