| NPI | 1528076742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology (Licence: CA A103769) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036-109565) |
| 207Q00000X Family Medicine (Licence: IL 036-109565) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-06-13 |