| NPI | 1881123073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD474043) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125071779) |
| 207R00000X Internal Medicine (Licence: PA MT213911) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2021-07-01 |