| NPI | 1992365696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125075564) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NY 322580) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2025-09-30 |