NPI | 1376999821 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036158809) |
Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD473582) |
207ND0900X Dermatology, Dermatopathology (Licence: IL 036158809) | |
Enumeration Date | 2016-05-13 |
Last Update Date | 2023-10-10 |