| 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 |