| 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 |