| NPI | 1033371844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A121729) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT191043) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2020-02-24 |