| NPI | 1487159604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA1230740) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125073009) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-06-25 |