| NPI | 1396936654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA md.202760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY.1.EKL) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2024-03-08 |