| NPI | 1134532187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 24773) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 299025) |
| 207R00000X Internal Medicine (Licence: MA 259544) | |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2023-09-25 |