| NPI | 1700217544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 270941) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 270941) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2024-06-04 |