| NPI | 1386905917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD60847731) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR pg158620) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2018-06-28 |