| NPI | 1609254564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-157349) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10054311) |
| 207N00000X Dermatology (Licence: TX S1859) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2023-03-24 |