| NPI | 1740574169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD195049) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD195049) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 2862881) | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2021-01-02 |