| NPI | 1588926984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 65408) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036140845) |
| 207R00000X Internal Medicine (Licence: WI 65408) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-12-28 |