| NPI | 1366962292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A162721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA xxxxxx) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-12-22 |