| NPI | 1134549199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 83076) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA10288400) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2021-02-23 |