| NPI | 1649394875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD440187) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MD440187) |
| 207N00000X Dermatology (Licence: PA MD440187) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2023-03-07 |