NPI | 1922212539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036.118234) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036.118234) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2025-05-28 |