| NPI | 1457918229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 1020203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11555) |
| 207N00000X Dermatology (Licence: MD D0098042) | |
| 207N00000X Dermatology (Licence: MD D98042) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2026-01-16 |