| NPI | 1184923765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: HI MD-20868) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 265484) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2020-08-03 |