| NPI | 1417712704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2026015746) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-5638) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2026-06-10 |