| NPI | 1447600945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 299032) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA MD-47335) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-10-13 |