| NPI | 1992480784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2024024360) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023023552) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2024-07-03 |