| NPI | 1265415962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 310846) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA06728100) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-07-28 |