| NPI | 1659884765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 39829) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OK 39829) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2023-03-01 |