| NPI | 1376797860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 263129-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 236962) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2017-09-25 |