| NPI | 1417319617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: SC 87118) |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology (Licence: SC 87118) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2022-07-22 |