| NPI | 1467831388 |
|---|---|
| Former Name | ELIZABETH ROSE HELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A172737) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: PA MD468274) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT210543) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2021-05-24 |