| NPI | 1558823823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME150603) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL TRN28028) |
| 207R00000X Internal Medicine (Licence: FL TRN28028) | |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2023-01-16 |