| NPI | 1639407331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MS 23115) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 23115) |
| 207R00000X Internal Medicine (Licence: FL U01893) | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2020-10-26 |