| NPI | 1760745277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A129374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A129374) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-11-21 |