| NPI | 1710140785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301092776) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301092776) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-07-16 |