| NPI | 1699465682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4704251879) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 470425879) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |