| NPI | 1629334594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR57799) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR57799) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CO DR57799) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CO DR57799) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2020-11-03 |