| NPI | 1194194951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 323244) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 265089) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2024-07-29 |