| NPI | 1770087173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 304783) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: IL 1770087173) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-12-29 |