NPI | 1750353389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SD 4069) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SD 4069) |
207ND0900X Dermatology, Dermatopathology (Licence: SD 4069) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: SD 4069) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: SD 4069) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2016-01-15 |