| NPI | 1922489111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD471309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD471309) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2020-08-27 |