| NPI | 1295995546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: LA 207554) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 254251) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2015-02-09 |