| NPI | 1316475270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A159987) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125069958) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-03-07 |