| NPI | 1871294470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 94-12138) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024022796) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-06-23 |