NPI | 1295228351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036164971) |
Additional Taxonomies | 207N00000X Dermatology (Licence: OH 35.144747) |
207N00000X Dermatology (Licence: IL 125.071972) | |
207R00000X Internal Medicine (Licence: IL 125.071972) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 35.144747) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2023-07-13 |