| NPI | 1437545498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: VA 0101269656) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: DC MD048435) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D0089897) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A161265) | |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2021-06-04 |