| NPI | 1992116016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC CS220137047) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101262029) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2022-10-24 |