| NPI | 1619029527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD438692) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA07819700) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2025-06-27 |