NPI | 1407014913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D0075407) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0075407) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2014-04-28 |