| NPI | 1134346430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN 43509) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KY 40861) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-07-21 |