| NPI | 1699728378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 204625) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: NY 204625) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2016-11-11 |