| NPI | 1295927721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125-053205) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036-127825) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2012-07-31 |