| NPI | 1023420361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036146947) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036146947) |
| 207N00000X Dermatology (Licence: PA OT015672) | |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2026-03-31 |