| NPI | 1467754200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA10939200) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A169715) |
| 207R00000X Internal Medicine (Licence: NY 267493) | |
| 207R00000X Internal Medicine (Licence: FL ME152476) | |
| 207N00000X Dermatology (Licence: FL ME152476) | |
| 207N00000X Dermatology (Licence: NY 267493) | |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2025-03-27 |