NPI | 1073802450 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 260162) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 260162) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2021-08-25 |