| NPI | 1073820536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 014203) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NV PA2121) |
| 207ND0900X Dermatology, Dermatopathology (Licence: NV PA2121) | |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2020-05-19 |