| NPI | 1013570282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL MD.42122) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: AL MD.42122) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2024-04-11 |