| NPI | 1134461460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 58021) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 303067) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: KY 58021) | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2024-09-11 |