| NPI | 1295757169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2007-00970) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 235984) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2024-11-11 |