| NPI | 1467847905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A148423) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: CA A148423) |
| 207N00000X Dermatology (Licence: CA A148423) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-02-03 |