| NPI | 1740415777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2022005842) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.131823) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2022-06-14 |