| NPI | 1972764942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX P3054) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: TX P3054) |
| 207R00000X Internal Medicine (Licence: TX BP10031185) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX P3054) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2025-10-02 |