| NPI | 1447549993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 284319) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 284319-1) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-06-29 |