| NPI | 1851310619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 03608376) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OK 16987) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-08-03 |