| NPI | 1841585890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q3981) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041339) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2023-08-02 |