NPI | 1528203809 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA08412800) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA08412800) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2020-09-04 |