| NPI | 1720320385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX R6760) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.063329) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-08-15 |