| NPI | 1962963819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 71150) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 67877) |
| 207R00000X Internal Medicine (Licence: MN 29848) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-09-18 |