NPI | 1053699645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD177022) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125059648) |
207N00000X Dermatology (Licence: WA MD60644753) | |
207N00000X Dermatology (Licence: OR MD177022) | |
207N00000X Dermatology (Licence: WI 63662) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD60644753) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WI 63662) | |
Enumeration Date | 2011-07-30 |
Last Update Date | 2021-02-10 |