| NPI | 1912790841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2026015796) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 10223) |
| Enumeration Date | 2025-05-23 |
| Last Update Date | 2026-07-07 |