| NPI | 1588872352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A106124) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 244151) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-06-15 |