| NPI | 1396853966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MI 5601093226) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MI 5601093226) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2024-07-31 |