| NPI | 1003379488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WI 8225-851) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 390200000X) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2020-06-18 |