| NPI | 1942477559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0069811) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0069811) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2012-03-07 |