| NPI | 1598178329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0085023) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A179320) |
| 207R00000X Internal Medicine (Licence: IL 125064585) | |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2022-07-25 |