NPI | 1558356410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 02002378A) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036-114774) |
Enumeration Date | 2005-09-16 |
Last Update Date | 2025-08-07 |