NPI | 1730341736 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA08545300) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA08545300) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2017-11-15 |