| NPI | 1962674184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CT 046352) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CT 046352) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NY 253189) | |
| 207N00000X Dermatology (Licence: NY 253189) | |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-09-28 |