| NPI | 1790529691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VT 060.0005979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10089907) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-06-20 |