| NPI | 1841490349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PR 016842) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PR 16842) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-12-21 |