| NPI | 1871972703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 293813) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA 474399) |
| 207R00000X Internal Medicine (Licence: NY 293813) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2022-07-26 |