| NPI | 1326270968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 258414) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 258414) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NY 258414-1) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 258414) | |
| Enumeration Date | 2009-08-16 |
| Last Update Date | 2022-02-14 |