| 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 |