| NPI | 1154468445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0047413) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 47413) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-10-06 |