| NPI | 1629884945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MP00901400) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MP00901400) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MP00901400) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: NJ 25MP00901400) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NJ 25MP00901400) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MP00901400) | |
| 208600000X Surgery (Licence: NJ 25MP00901400) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MP00901400) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: NJ 25MP00901400) | |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-10 |