| NPI | 1083271423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MB12152800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT019019) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-05-16 |