| NPI | 1922310911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P9743) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197636) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2019-02-21 |