NPI | 1235161308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A64597) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA A64597) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2010-10-04 |