| NPI | 1588892558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 97652) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX Q8953) |
| 207N00000X Dermatology (Licence: GA 97652) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX Q8953) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA MD61316003) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2023-12-29 |