NPI | 1205255288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A135075) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A135075) |
207NP0225X Dermatology, Pediatric Dermatology (Licence: CA A135075) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA A135075) | |
Enumeration Date | 2014-04-07 |
Last Update Date | 2020-02-03 |