| NPI | 1942212857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CO 51663) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A85337) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A85337) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A85337) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-01-11 |