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 |