NPI | 1083689137 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036114916) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MA 223293) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2020-10-06 |