| NPI | 1710328851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: IL 036.145643) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: WI 66934-20) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2024-10-09 |