| NPI | 1831359330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: NJ 25MA09367700) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD4456680) |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: NY 257580) | |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2013-09-26 |