| NPI | 1639639339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: WA OP61674158) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR DO224737) |
| 207N00000X Dermatology (Licence: WA OP61674158) | |
| 207N00000X Dermatology (Licence: OR DO224737) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-09-24 |