| NPI | 1619952686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 49047) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 49047) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-11-27 |