| NPI | 1891282547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO DR.0070227) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 324374) |
| 207N00000X Dermatology (Licence: OH 35.144767) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 324374) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35.144767) | |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-05-21 |