| NPI | 1144483116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA08557200) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 246835) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2015-12-03 |