| NPI | 1083872816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA09504000) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 234997) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2014-06-27 |