NPI | 1366192551 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.082721) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.082721) |
207R00000X Internal Medicine (Licence: IL 125.082721) | |
Enumeration Date | 2022-03-28 |
Last Update Date | 2024-06-11 |