NPI | 1477765329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: NY 233374) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 233374) |
207N00000X Dermatology (Licence: NY 233374) | |
Enumeration Date | 2007-05-04 |
Last Update Date | 2014-03-17 |