| NPI | 1205942521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: RI 12878) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 221353) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-10-03 |