| NPI | 1740424035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MB09666500) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA OS014982) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2021-03-16 |