| NPI | 1982055752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 9785054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7756) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2020-10-12 |