| NPI | 1235347717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 145620-1) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NJ 25MA04392400) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 145620-1) | |
| 207N00000X Dermatology (Licence: NJ 25MA04392400) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2010-11-19 |