| NPI | 1891956595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD446369) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA09329100) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2013-07-02 |