| NPI | 1619438637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301512172) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 4351046431) |
| 207R00000X Internal Medicine (Licence: IL 125073712) | |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2024-06-25 |