| NPI | 1699099515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 38911) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 272398) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2024-06-05 |