| NPI | 1427411149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: OH 35.142554) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.142554) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2021-07-14 |