| NPI | 1205161478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0060516) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0060516) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2023-02-24 |