| NPI | 1558542753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA 20A13921) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5101020190) |
| 207N00000X Dermatology (Licence: MI 5315058380) | |
| 207R00000X Internal Medicine (Licence: CA 20A13921) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2024-04-27 |