| NPI | 1386103463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2023-01510) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D97667) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2023-01510) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-09-05 |