NPI | 1558636647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036137305) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.059296) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2024-01-16 |