| NPI | 1740593664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A123852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.057761) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2019-09-08 |