| NPI | 1598146870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2019-01391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2019-01391) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-07-15 |