| NPI | 1538280292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A81058) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A81058) |
| 207N00000X Dermatology (Licence: CA A81058) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2024-09-09 |