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 |