NPI | 1689293672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036168500) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.077293) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-10 |
Last Update Date | 2024-10-05 |