| NPI | 1538186085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD420475) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA11711000) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2025-11-06 |