| NPI | 1669861407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME175482) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.146452) |
| 208000000X Pediatrics (Licence: IL 125066312) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: AZ 62897) | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2025-10-13 |