| NPI | 1497703797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: AZ 34857) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 34857) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-10-20 |