| NPI | 1992927214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: TN 47452) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 47452) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN 47452) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-04-27 |