| NPI | 1982652269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101247349) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 230491) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-09-01 |