| NPI | 1396760815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 89947) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2021-03270) |
| 207R00000X Internal Medicine (Licence: CA A90598) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2022-02-09 |