| NPI | 1528321957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A14213) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 20A14213) |
| 207R00000X Internal Medicine (Licence: MI 5101020062) | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2017-10-03 |