| NPI | 1619199072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-130434) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WI 54439-020) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-03-07 |