| NPI | 1659530004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 61382) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 246083) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2026-07-01 |