NPI | 1083681795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 214074) |
Additional Taxonomies | 174400000X Specialist (Licence: MA 214074) |
207N00000X Dermatology (Licence: NH 14228) | |
207N00000X Dermatology (Licence: MA 214074) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NH 14228) | |
Enumeration Date | 2006-03-01 |
Last Update Date | 2018-12-03 |