| NPI | 1871813709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA09715900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197215) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2015-08-19 |