| NPI | 1740573997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q5053) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02257) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2026-08-03 |