| NPI | 1679552350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2004009689) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MO 2004009689) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: MO 2004009689) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: MO 2004009689) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2014-05-02 |