NPI | 1508184763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD177019) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA a118271) |
207NS0135X Dermatology, Procedural Dermatology (Licence: CA a118271) | |
Enumeration Date | 2010-05-12 |
Last Update Date | 2025-06-12 |