NPI | 1417319617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SC 87118) |
Additional Taxonomies | 207N00000X Dermatology (Licence: SC 87118) |
207ZD0900X Pathology, Dermatopathology (Licence: SC 87118) | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2025-01-02 |