| NPI | 1316391410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2022-02425) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036151708) |
| 207N00000X Dermatology (Licence: TN 64363) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2023-02-22 |