| NPI | 1366860884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01085876A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.146276) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2021-07-25 |