| NPI | 1588158737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022019867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022019867) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-04-25 |