| NPI | 1922418482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX BP20054341) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050816) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2021-12-06 |