| NPI | 1649238775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD422137) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: PA MD422137) |
| 207N00000X Dermatology (Licence: NJ 25MA07815500) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA07815500) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-08-31 |