NPI | 1013446012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SC 20-91304) |
Additional Taxonomies | 207N00000X Dermatology (Licence: NC 2021-01360) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-05 |
Last Update Date | 2024-10-09 |