NPI | 1780959759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2024-00309) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 2024-00309) |
Enumeration Date | 2012-03-09 |
Last Update Date | 2024-09-09 |