| NPI | 1598178923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 273788) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259978) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2018-11-09 |