| NPI | 1154504017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 53248-020) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125049062) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2021-09-16 |