| NPI | 1881873891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 247514) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA08527200) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2022-11-11 |