NPI | 1295969624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NY 269568) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 269568-1) |
Enumeration Date | 2009-05-13 |
Last Update Date | 2025-06-23 |