| NPI | 1588714430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A110959) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX N1579) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A110959) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-02-09 |