| NPI | 1689690174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: TX M7754) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TX M7754) |
| 207N00000X Dermatology (Licence: IL 036111738) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-03-06 |