| NPI | 1144607136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX s1887) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX S1887) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2024-03-20 |