| NPI | 1265677033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 277924) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RR0500X Internal Medicine Rheumatology (Licence: NY 277924) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2019-06-27 |