| NPI | 1336400217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-141403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.021857) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2020-11-23 |