| NPI | 1740346071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 6020020-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6020020-1205) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2021-10-20 |