NPI | 1083670111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036111358) |
Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: IL 036111358) |
207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036111358) | |
Enumeration Date | 2006-04-26 |
Last Update Date | 2021-06-25 |