NPI | 1851656516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036158125) |
Additional Taxonomies | 207N00000X Dermatology (Licence: MA 266092) |
Enumeration Date | 2012-07-09 |
Last Update Date | 2021-12-07 |