| NPI | 1346477445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NY 270290) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 270290) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2014-01-20 |