| NPI | 1962932384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A175492) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 271832) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-08-19 |