| NPI | 1316395734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME167043) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME167043) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2025-06-23 |