| NPI | 1881850840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0069468) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 003174) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2009-08-20 |