NPI | 1285088302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.156389) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.156389) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 1285088302) | |
207N00000X Dermatology (Licence: IL 1285088302) | |
Enumeration Date | 2016-04-14 |
Last Update Date | 2024-10-22 |