| NPI | 1760598759 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-112811) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 239023) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: IL 036112811) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2022-01-06 |