| NPI | 1972008290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MO 2023014180) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01097954A) |
| 207N00000X Dermatology (Licence: MO 2023014180) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01097954A) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-10-09 |