| NPI | 1659396232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 326864) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD423718) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2023-11-30 |