NPI | 1649513508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA A136702) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A136702) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A136702) | |
Enumeration Date | 2013-03-29 |
Last Update Date | 2018-10-16 |