| NPI | 1801074976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD443490) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD443490) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: PA MD443490) | |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2023-10-23 |