| NPI | 1316357486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 296205) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA10511000) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2024-01-17 |