| NPI | 1891089033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA09368200) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT199328) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2025-06-17 |