| NPI | 1033145255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 221520) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 221520) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-09-29 |