| NPI | 1740773597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IA MD-51638) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA MD-51638) |
| 207ND0900X Dermatology, Dermatopathology (Licence: IA MD-51638) | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IA MD-51638) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IA MD-51638) | |
| 207R00000X Internal Medicine (Licence: RI LP04304) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-08-03 |