| NPI | 1962133108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 74831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 9442) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-07-18 |