| NPI | 1659562841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: VA 0101255093) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 185159) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AR E-6984) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-09-30 |