| NPI | 1750345278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: PA MD430176) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35058536M) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD430176) | |
| 207N00000X Dermatology (Licence: PA MD430176) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2016-12-22 |