| NPI | 1861842031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 228041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL39812) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2018-03-17 |