| NPI | 1255523569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A118004) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125052276) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2022-07-21 |