| NPI | 1629036157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 40033) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036128487) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2016-09-15 |