| NPI | 1649509126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MB08722300) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 246859) |
| Enumeration Date | 2009-12-13 |
| Last Update Date | 2024-05-30 |