| NPI | 1063471050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 217725) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 217725) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MA 217725) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: MA 217725) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 217725) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-05-31 |