| NPI | 1902249840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX 574722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 574722) |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-12-06 |