| NPI | 1366157638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL 9116020) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL 9116020) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-20 |