NPI | 1619918356 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D63794) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MD D63794) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-09-30 |