| NPI | 1558588830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM MD2021-0742) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NM MD2021-0742) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-03-24 |