| NPI | 1871006510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX PA11583) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX PA11583) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-02-09 |