| NPI | 1861838625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 19109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 191909) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2024-01-19 |