| NPI | 1306012166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX Q3213) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.127261) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2015-09-16 |