| NPI | 1508132846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D83728) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D83728) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-09-17 |