| NPI | 1669867859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD047331) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0087410) |
| 207N00000X Dermatology (Licence: NY 295432) | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2024-02-23 |