| NPI | 1962856880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01083286A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY 53361) |
| 207N00000X Dermatology (Licence: FL ME133213) | |
| 207R00000X Internal Medicine (Licence: FL TRN22679) | |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-04-21 |