| NPI | 1326041922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN MD42920) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN MD42920) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX L9659) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2022-03-26 |