| NPI | 1013228469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA10534400) |
| Additional Taxonomies | 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 | 2024-07-08 |