| NPI | 1912167487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 51661) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125048981) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2022-11-11 |