| NPI | 1770741589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 240065) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 240065) |
| 208000000X Pediatrics (Licence: NY 240065) | |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2018-03-13 |