| NPI | 1952822231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A174890) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 308806) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-07-15 |