| NPI | 1588665509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: KS 30619) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: KS 30619) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-07-21 |