| NPI | 1225235294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 263099-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 263099-1) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2024-08-28 |