| NPI | 1548729445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MT 140163) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01090118A) |
| 207N00000X Dermatology (Licence: MT 140163) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-06-18 |