| NPI | 1639390701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E-5188) |
| Additional Taxonomies | 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology (Licence: AR E5188) |
| 207NP0225X Dermatology Pediatric Dermatology (Licence: AR E5188) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: AR E-5188) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-06-17 |