| NPI | 1952492548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NC 200001428) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD27163) |
| 207N00000X Dermatology (Licence: NC 200001428) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OR MD27163) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-10-19 |