| NPI | 1215966718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 2055741) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 205574) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-06-30 |