| NPI | 1891028957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AL DO.1341) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 068485) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 068485) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2021-09-10 |