| NPI | 1710193644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IA MD-41815) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.156107) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IA MD-41815) | |
| 207N00000X Dermatology (Licence: IL 036.156107) | |
| 207N00000X Dermatology (Licence: IA MD-41815) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.156107) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2024-03-04 |