| NPI | 1174595920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 34002) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 34002) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 34002) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-02-09 |