| NPI | 1992563068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 83008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-13550) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2026-07-13 |