| NPI | 1972802783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD463931) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NJ 25MA09638500) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2022-06-30 |