| NPI | 1093080202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 20880) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 282621) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-12-02 |