| NPI | 1487008751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35.139240) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01092905A) |
| 207N00000X Dermatology (Licence: OH 35.139240) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IN 01092905A) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-04-03 |