| NPI | 1992757066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IL 036115984) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036115984) |
| 207N00000X Dermatology (Licence: OH 35085157) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-02-16 |