| NPI | 1154713899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036161361) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 276785) |
| 207R00000X Internal Medicine (Licence: IL 125069966) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2022-12-05 |