| NPI | 1740692326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MN 59816) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MN 59816) |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2022-07-21 |