| NPI | 1972764017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MO 2021045111) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CA C151892) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA C151892) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-04-20 |