| NPI | 1750630125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX R3351) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 3116-320) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA A141780) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MO 2023009444) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: AZ 68538) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: TX R3351) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MN 74511) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: GA 94587) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: OH 35.147986) | |
| 207R00000X Internal Medicine (Licence: IL 125.061605) | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2024-10-17 |