| NPI | 1376224915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 6779) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT 6779) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2025-11-19 |