| NPI | 1407275217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A142051) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 55722) |
| 207N00000X Dermatology (Licence: GA 077800) | |
| 207R00000X Internal Medicine (Licence: IL 125065436) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2019-10-30 |