| NPI | 1629964895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2026018759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2025022844) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2026-05-26 |