| NPI | 1861060220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA R-12371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-12137) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2022-04-24 |