NPI | 1497286033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN 73947) |
Additional Taxonomies | 207N00000X Dermatology (Licence: TN 73947) |
207N00000X Dermatology (Licence: CO DR.0073479) | |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0073479) | |
Enumeration Date | 2017-03-24 |
Last Update Date | 2025-09-19 |