| NPI | 1114260429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 288450-1) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 288450-1) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2022-07-21 |