| NPI | 1831538099 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 72667-20) | 
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036145550) | 
| Enumeration Date | 2013-06-20 | 
| Last Update Date | 2021-01-26 |