| NPI | 1023125994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.094838) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 230724-1) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-02-22 |