| NPI | 1336438753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME126538) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL me126538) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-02-07 |