| NPI | 1477533552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL 0071595) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: FL ME71595) |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine (Licence: FL ME71595) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-01-18 |