| NPI | 1073953931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2017000103) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.063584) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-09-21 |