| NPI | 1932249943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA08985000) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 242285) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX M9278) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA08985000) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2022-10-04 |