| NPI | 1437341401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-121720) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MA 282205) |
| 207N00000X Dermatology (Licence: CA A92526) | |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2020-08-10 |