| NPI | 1437592151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q0973) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q9073) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-03-28 |