| NPI | 1285830166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.130085) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.130085) |
| 207N00000X Dermatology (Licence: CA A116000) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: IL 036.130085) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.130085) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125053046) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2023-08-08 |