| NPI | 1336608546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 321339-01) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME146604) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-11-07 |