| NPI | 1235335027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 141583) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 260725-1) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2017-06-29 |