| NPI | 1013981059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD043612L) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 134322) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2011-09-14 |