| NPI | 1457518490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036154214) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX N9937) |
| 207N00000X Dermatology (Licence: MI 4301091563) | |
| 207N00000X Dermatology (Licence: IL 036154214) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: MI 4301091563) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-06-30 |