| NPI | 1386346344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 3017890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MTL500002369) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2025-06-09 |