| NPI | 1558396374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 173310) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NY 173310) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |