| NPI | 1073856498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 75467) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036144218) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2025-12-11 |