| NPI | 1710419973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 276803) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125071096) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2018-09-13 |