NPI | 1326229121 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036125295) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125-052-665) |
207ND0900X Dermatology, Dermatopathology (Licence: MA 256848) | |
207R00000X Internal Medicine (Licence: IL 125-052-665) | |
Enumeration Date | 2007-11-20 |
Last Update Date | 2021-12-23 |