| 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 |