| NPI | 1609080837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: OH 35.097057) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.097057) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-10-21 |