| NPI | 1700536950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 13509706-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID MRM-2129) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2023-08-14 |