| NPI | 1669932406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VT 042.0017627) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 332091) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-08-18 |