| NPI | 1437324480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX P5987) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX P5987) |
| 207N00000X Dermatology (Licence: MI 4301091364) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2013-09-26 |