| NPI | 1376177923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2025-01410) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125078920) |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2025-06-18 |