| NPI | 1801004650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A106522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0003735) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-03-07 |