| NPI | 1033168042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A51019) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 84458) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A51019) | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-11-06 |