| NPI | 1609889211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MP00162300) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00162300) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-05-12 |