| NPI | 1144674201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: LA 326358) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2020012670) |
| 207N00000X Dermatology (Licence: LA 326358) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MS 28832) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-02-23 |