| NPI | 1821324963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 37247) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX P6859) |
| 207R00000X Internal Medicine (Licence: TX BP10034494) | |
| 207R00000X Internal Medicine (Licence: OK 37247) | |
| Enumeration Date | 2009-10-25 |
| Last Update Date | 2023-12-01 |