| NPI | 1679910335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 284900) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 284900) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2021-04-07 |