| NPI | 1942837992 |
|---|---|
| Former Name | ELISE JEAN KORNREICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CO DR.0074909) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: IL 125.079790) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-07-30 |