| NPI | 1679902449 |
|---|---|
| Former Name | MAHDIEH FAZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 72061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S021618) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R78135) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2024-09-09 |