| NPI | 1982744694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 242788) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 242788-1) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-05-03 |