NPI | 1063460715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: TX H4247) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX H4247) |
207ND0900X Dermatology, Dermatopathology (Licence: TX H4247) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: TX H4247) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2019-03-14 |