| NPI | 1518227594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME127353) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 283246) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2024-09-13 |