| NPI | 1184120602 |
|---|---|
| Former Name | ELENA MAXIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KY 56421) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IN 01088030A) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2022-07-12 |