| NPI | 1811417793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MD D0098326) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0098326) |
| 207N00000X Dermatology (Licence: PA MD482213) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA MD482213) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2024-03-26 |