| NPI | 1881608321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA G82156) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA G82156) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-02-09 |