| NPI | 1437117058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME101443) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 227592) |
| 207N00000X Dermatology (Licence: NY 230026) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA083600800) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2018-08-20 |