| NPI | 1144545195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD488857C) |
| Additional Taxonomies | 208D00000X General Practice (Licence: DE C1-0009800) |
| 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: DE C1-0009800) | |
| 207N00000X Dermatology (Licence: WI 3284-20) | |
| 207N00000X Dermatology (Licence: MS 26245) | |
| 207N00000X Dermatology (Licence: ND 19930) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MS 26245) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2025-09-15 |