| NPI | 1013228469 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA10534400)  | 
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NJ 25MA10534400)  | 
| 208000000X Pediatrics (Licence: NJ 106526)  | |
| 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 284537)  | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 284537)  | |
| Enumeration Date | 2010-06-30 | 
| Last Update Date | 2025-02-19 |