| NPI | 1760845929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A153015) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A153015) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-11-18 |