| NPI | 1689764920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 36045349) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: IL 36-045349) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2012-12-02 |