| NPI | 1477895076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NH 18945) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 270528) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: ME MD22901) | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-09-29 |