| NPI | 1982976205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P2057) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX BP20039384) |
| 207R00000X Internal Medicine (Licence: TX BP20039384) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2019-05-09 |