| NPI | 1124361159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036.145269) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2018027246) |
| 207ND0900X Dermatology Dermatopathology (Licence: MO 2018027246) | |
| 207ND0900X Dermatology Dermatopathology (Licence: IL 036.145269) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2021-03-15 |