| NPI | 1952596538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD447227) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 036.125054) |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2012-11-09 |