| NPI | 1417115304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME117987) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 236784) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-07-21 |