| NPI | 1740522515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NV DO3109) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 009536) |
| 208D00000X General Practice (Licence: NE 1193) | |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-12-29 |