NPI | 1871179317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.175281) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.175281) |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.175281) | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-06-18 |