| NPI | 1598328098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A201792) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.007514) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-08-18 |