| NPI | 1528294097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.131060) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.131060) |
| 207N00000X Dermatology (Licence: IL 125053377) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.131060) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2023-08-10 |