| 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 |