| NPI | 1124111257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: TN 42459) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: SC 29676) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: FL ME91401) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2023-12-29 |