| NPI | 1528262185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P2644) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA 37782) |
| 207RA0000X Internal Medicine Adolescent Medicine (Licence: TX BP10026398) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-07-11 |