| NPI | 1720577117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD214429) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: UT 12762250-1205) |
| 207N00000X Dermatology (Licence: OR MD214429) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: UT 12762250-1205) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: UT 12762250-1205) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: OR MD214429) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: OR MD214429) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2023-06-24 |