| NPI | 1346344611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD27518) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2006015208) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2020-10-02 |