| NPI | 1174849194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 24443) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NV 24443) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2023-12-01 |