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 |