| NPI | 1548497217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036134481) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AZ 006179) |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2014-08-02 |