| NPI | 1316102999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 250697) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 250697) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2021-05-11 |