| NPI | 1134579535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IA MD48424) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD199422) |
| 207R00000X Internal Medicine (Licence: MO 2016018191) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2025-03-17 |