| NPI | 1346552023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A113146) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A113146) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: CA A113146) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A113146) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2021-03-10 |