| NPI | 1831752211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME169740) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO DR.0071053) |
| Enumeration Date | 2019-04-21 |
| Last Update Date | 2024-09-10 |