| NPI | 1043715006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD61271877) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.073452) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2022-11-11 |