| NPI | 1275700528 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 04-36587)  | 
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: KS 04-36587)  | 
| Enumeration Date | 2008-05-14 | 
| Last Update Date | 2024-10-09 |