| NPI | 1336197433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 243811-1) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 217433) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2010-04-01 |