| NPI | 1780664599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NJ 25MA08161800) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 150799) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2013-02-27 |