NPI | 1245500545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2018-00190) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2018-00190) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2024-07-09 |