| NPI | 1811256530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AL MD.44262) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD458296) |
| 207N00000X Dermatology (Licence: AL MD.44262) | |
| 207N00000X Dermatology (Licence: TX S1784) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: AL MD.44262) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2024-09-28 |