| NPI | 1902284078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036149813) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL ME129310) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2021-03-08 |