| NPI | 1629009196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX Q1814) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX Q1814) |
| 207N00000X Dermatology (Licence: FL ME96076) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-03-18 |