| NPI | 1861780017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35.133902) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036137378) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2020-12-17 |