| NPI | 1609028000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 273663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069269A) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2024-05-17 |