| NPI | 1114286754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 290895) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 290895) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-04-18 |