| NPI | 1871236778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TX W4777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10079230) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2026-05-06 |