| NPI | 1033464185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 67202) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125061558) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2022-07-26 |