| NPI | 1780670091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A93777) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A93777) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2017-09-26 |