| NPI | 1154732386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MI 4301502472) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NC 2019-00214) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: SC 82323) | |
| 207N00000X Dermatology (Licence: CO 021728) | |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2024-01-10 |