| NPI | 1447218847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D0065712) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2002-00683) |
| 207N00000X Dermatology (Licence: MD D0065712) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-10-05 |