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: IN 01088610A) |
Enumeration Date | 2015-05-17 |
Last Update Date | 2024-11-21 |