| NPI | 1720268188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 50478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052493) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2020-09-15 |