| NPI | 1346341252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A60605) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA A60605) |
| 207ND0900X Dermatology Dermatopathology (Licence: CA A60605) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CA A60605) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-10-25 |