| NPI | 1972129088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TN 71147) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2021015046) |
| 207R00000X Internal Medicine (Licence: MO 2020014443) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-06-14 |