| NPI | 1710541651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2023-02425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI MDR-7691) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-09-16 |