| NPI | 1992290969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA MD-48283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2018018702) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-06-16 |