| NPI | 1053593814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD456279) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 265454) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 265454) | |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-10-08 |