| NPI | 1124080619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MB07528000) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MB07528000) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2022-07-01 |