NPI | 1922150994 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: KY 22399) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: KY 22399) |
207NS0135X Dermatology, Procedural Dermatology (Licence: KY 22399) | |
207ND0900X Dermatology, Dermatopathology (Licence: KY 22399) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2023-03-07 |