| NPI | 1841510823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2014-01259) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A137339) |
| 207R00000X Internal Medicine (Licence: IL 125:057936) | |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2020-03-12 |