NPI | 1073879128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036160480) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OR MD176337) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2023-07-28 |