| NPI | 1932360906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MB07507100) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA OS013778) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA OS013778) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2014-07-14 |