| NPI | 1326209560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 240062) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: SC LL30974) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 240062) | |
| 207N00000X Dermatology (Licence: MA 240062) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2012-05-30 |