NPI | 1780642751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MA 227306) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME98324) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2020-09-11 |