| NPI | 1649847070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 12870) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 12870) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-04-24 |