| NPI | 1902487689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.079601) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.079601) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2024-08-02 |