| NPI | 1679986830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 278678) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259131) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2019-06-21 |