| NPI | 1992976716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: MN 54976) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036120215) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2012-08-27 |