| NPI | 1306883350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G76728) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G76728) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-09-03 |