| NPI | 1013619154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.081766) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.081766) |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2024-05-22 |