| NPI | 1790923324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036125334) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 238877) |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036125334) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2021-12-20 |