| NPI | 1649899519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A189458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020019053) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2024-11-08 |