| NPI | 1346372331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 232377) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 238038) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2021-06-02 |