| NPI | 1568777555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI DOS-2429) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P7707) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2024-11-05 |