| NPI | 1588989412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A168938) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 70096) |
| 207N00000X Dermatology (Licence: ND 22506) | |
| 207N00000X Dermatology (Licence: CA A168938) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 70096) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A168938) | |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2025-05-30 |