| NPI | 1760970891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA 20A19476) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 20A19476) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-05-30 |