| NPI | 1417299207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 0439795) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.063136) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2022-07-21 |