| NPI | 1891960993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01076313A) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD445372) |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IN 01076313A) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: PA MD445372) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: PA MD445372) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2022-07-06 |