| NPI | 1013446012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SC 20-91304) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207N00000X Dermatology (Licence: NC 2021-01360) | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2024-05-02 |