| NPI | 1841871258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IL 125.077387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077387) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.077387) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2022-08-29 |