NPI | 1447505755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 53000) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036141198) |
208D00000X General Practice (Licence: IL 125062032) | |
Enumeration Date | 2012-07-24 |
Last Update Date | 2020-02-05 |