| NPI | 1174943021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA11335100) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA 25MA11335100) |
| 207ND0900X Dermatology, Dermatopathology (Licence: PA MD469804) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2023-11-30 |