| NPI | 1447428305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO UNKNOWN) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CO DR.0051289) |
| 207ND0900X Dermatology Dermatopathology (Licence: CO DR.0051289) | |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-09-29 |