| NPI | 1831453463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036145531) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IA R-10097) |
| 207N00000X Dermatology (Licence: MA 257069) | |
| 207R00000X Internal Medicine (Licence: IL 125061766) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-02-05 |