| NPI | 1841418035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.114222) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036-114222) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.11422) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-08-16 |