| NPI | 1417913245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA66578) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 2132691) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-07-07 |