| NPI | 1497214233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA11780700) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA11780700) |
| 207N00000X Dermatology (Licence: PA MD490340) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2025-09-15 |