| NPI | 1649407073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q5678) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 269542-1) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2024-09-11 |