| NPI | 1730335753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA MD.206040) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125054581) |
| Enumeration Date | 2008-08-10 |
| Last Update Date | 2021-06-17 |