| NPI | 1912105958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 285889) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A107038) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD153995) | |
| 207N00000X Dermatology (Licence: NY 285889) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: OR MD153995) | |
| 207R00000X Internal Medicine (Licence: MA 232143) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-01-08 |