| NPI | 1558781203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2018-02842) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036151192) |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2021-08-13 |