| NPI | 1891286688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A178789) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA11705600) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-04-05 |