| NPI | 1851411409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CO DR.0050098) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO DR.0050098) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: MA 250766) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CO DR.0050098) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-11-04 |