| NPI | 1780115741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA A156863) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A156863) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2024-04-16 |