| NPI | 1285077057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A163323) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 282425) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2026-09-01 |