| NPI | 1225316193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D0086823) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: DC MD046878) |
| 207N00000X Dermatology (Licence: MD D0086823) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: DC MD046878) | |
| Enumeration Date | 2011-07-26 |
| Last Update Date | 2019-04-19 |