| NPI | 1871086330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: PA OS021995) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA OS021995) |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: PA OS021995) | |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2023-09-18 |