| NPI | 1609196450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: ME MD20183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01920) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2020-10-01 |