| NPI | 1952485526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 191741-1) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 191741) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 191741) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-02-14 |