| NPI | 1003319872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2022-03153) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2022-03153) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2023-06-26 |