| NPI | 1669638441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A110942) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036123058) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2014-09-09 |