| NPI | 1447679436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 278052) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA FW8336287) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 278052) | |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2020-10-21 |