| NPI | 1932542198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA DO000443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01220) |
| 207R00000X Internal Medicine (Licence: LA DO.000443) | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2020-09-25 |