| NPI | 1861818676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MI 5101021010) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 5101021010) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2023-08-30 |