NPI | 1730323304 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MN 55920) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MN 55920) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2023-08-11 |