| NPI | 1063708709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0056686) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO DR.0056686) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-03-26 |