| NPI | 1588313324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME165194) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN36005) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2023-10-09 |