| NPI | 1083811707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 236817) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT 055491) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2022-07-21 |