| NPI | 1184608416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN MD0000033935) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TN 33935) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2014-06-09 |