| NPI | 1427218262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 054168) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 262111) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2015-06-24 |