| NPI | 1710373378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01087224AA) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01087224AA) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-08-24 |