| NPI | 1063530749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G51607) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036164415) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-05-10 |