| NPI | 1043373889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G85904) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G85904) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G85904) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-08-08 |