| NPI | 1588221857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 250162) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 250162) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2023-07-27 |