| NPI | 1194705863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AR E5770) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: CO 43286) |
| 207N00000X Dermatology (Licence: IL 036106862) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2021-03-09 |