| NPI | 1578875100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 292580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255141) |
| 207R00000X Internal Medicine (Licence: MA 292580) | |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2022-10-14 |