| NPI | 1770923559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036147755) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MO 2017014408) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-02-24 |