NPI | 1235662586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036160794) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.073672) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2023-07-28 |