| NPI | 1780675181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA C54709) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA 039456) |
| 207N00000X Dermatology (Licence: CA C54709) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA 039456) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2024-04-09 |