| NPI | 1215904602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN MD35480) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: TN MD35480) |
| 207ND0900X Dermatology, Dermatopathology (Licence: TN MD35480) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-12-04 |