| NPI | 1568568889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 2683051) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A88216) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-05-10 |