| NPI | 1871785279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 32559) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA PGY1EKLIM) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2019-01-31 |