| NPI | 1841495546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA09042800) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 245461) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2024-04-09 |