| NPI | 1669622148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 245816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245816) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2024-10-16 |