Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A54906 | CA |
NPI | 1033328604 |
---|---|
Provider Name | Elizabeth Nimni |
First Address | Beverly Hills, CA 90211-1928 |
Second Address | Beverly Hills, CA 90211-1928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 23/11/2020 |