| NPI | 1528590858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NV 23802) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: NV 23802) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NV 23802) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-02-01 |