| NPI | 1770578114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036-044582) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036-044582) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2014-01-31 |