| NPI | 1700371960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MA 295603) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 176004) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MN 71417) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2024-01-22 |