| NPI | 1689299935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 1689299935) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 11957) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2021-07-12 |