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 |