| NPI | 1538321997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 290569) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MB10158200) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2020-03-12 |