| NPI | 1568477222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CT 56322) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.116720) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-08-07 |