| NPI | 1942468962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA A109963) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA A109963) |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CA A109963) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2018-03-17 |