| NPI | 1023084696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 223800) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 223800) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2014-12-16 |