| NPI | 1457793283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO 0060196) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CO 0060196) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2018-07-25 |