| NPI | 1588926000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 282910) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-251859) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2016-08-12 |