| NPI | 1013228469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA10534400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 106526) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NJ 25MA10534400) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2025-12-16 |