| NPI | 1134385255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IL 036.127624) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.127624) |
| 207N00000X Dermatology (Licence: VA 0101262264) | |
| 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: VA 0101262264) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2022-07-25 |