| NPI | 1083840565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD60757392) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01075298A) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2021-01-29 |