| NPI | 1144230905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35092083) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35092083) |
| 207N00000X Dermatology (Licence: AZ 41743) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-11-20 |