| NPI | 1538167911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA G41388) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G41388) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-11-19 |