NPI | 1366823544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036149563) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MT210332) |
Enumeration Date | 2015-06-14 |
Last Update Date | 2019-06-17 |