NPI | 1740523539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036147037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 126063661) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2018-09-19 |