| NPI | 1598054926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MA 265614) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 265614) |
| 207ND0900X Dermatology, Dermatopathology (Licence: MA 265614) | |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-05-23 |