NPI | 1548283732 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: FL ME84786) |
Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME84786) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-08-28 |