| NPI | 1205148947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 34.011879) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 34.011879) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2024-08-13 |