| NPI | 1215191739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 56801) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125047711) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2021-01-12 |