| NPI | 1346658069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 280704) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY PG1596) |
| 207N00000X Dermatology (Licence: FL MFC1740) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2023-11-10 |