| NPI | 1730567264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036168465) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036168465) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IN 01088610A) | |
| Enumeration Date | 2015-05-17 |
| Last Update Date | 2025-01-11 |