NPI | 1275989808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036152257) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125069308) |
Enumeration Date | 2016-05-12 |
Last Update Date | 2020-10-06 |