| NPI | 1912494188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS18824) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL UO6375) |
| 207R00000X Internal Medicine (Licence: OR PG188434) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2022-08-19 |