| NPI | 1255621496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036140604) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 46294) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2016-06-24 |