| NPI | 1942595228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NH 22256) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NH 22256) |
| 207N00000X Dermatology (Licence: VA 0101252746) | |
| 207N00000X Dermatology (Licence: TX T6024) | |
| 207N00000X Dermatology (Licence: TN MD0000064760) | |
| 207N00000X Dermatology (Licence: FL ME144349) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2025-07-17 |