NPI | 1881629376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 19361) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NM 88-191) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 19361) | |
207NS0135X Dermatology, Procedural Dermatology (Licence: AZ 19361) | |
Enumeration Date | 2006-07-12 |
Last Update Date | 2023-12-12 |