| NPI | 1548299795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NY 244237) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036110878) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-03-25 |