| NPI | 1437562659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 274444) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259332) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-01-30 |