| NPI | 1285088302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.156389) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 1285088302) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.156389) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 1285088302) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2021-12-20 |