| NPI | 1366936411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 82426) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.145808) |
| 207R00000X Internal Medicine (Licence: MO 2018020293) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-10-26 |