| NPI | 1871936575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A145259) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264303) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2024-04-16 |