| NPI | 1831229871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: VA 0101260110) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: ID M11258) |
| 207N00000X Dermatology (Licence: VA 0101260110) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: ID M11258) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-11-29 |