| NPI | 1538862008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5315240684) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4301512551) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-07-31 |