NPI | 1760719967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA09262600) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NY 260007) |
Enumeration Date | 2009-11-09 |
Last Update Date | 2013-05-31 |