| NPI | 1780919746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 265321) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A111420) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2013-10-15 |