| NPI | 1508018664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PR 17886) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 17886) |
| 207R00000X Internal Medicine (Licence: MA 236134) | |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-04-09 |