| NPI | 1477285658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.082374) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.082374) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-06-10 |