| NPI | 1992016869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX 539959) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 539959) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-11-19 |